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Coding & Billing for Behavioral Mental Health and Addiction Services
Date and time
Location
RWJ Fitness & Wellness Center
3100 Quakerbridge Road Hamilton Township, NJ 08619Refund Policy
Description
Sherry Marchand returns to lead this workshop
* Coding and Billing strategies for optimal reimbursement.
* Get the training needed in todays Behavioral and Mental Health world to keep cash flowing and ensure compliance with the countless changes.
Please note that this workshop is sponsored 100% by the New Jersey Division of Mental Health and Addiction Services (DMHAS) and is FREE to its contracted/funded agencies. Agencies that are licensed but not contracted with DMHAS have to pay the nominal fee to attend.
No Show Policy: As with any event, there is a cost to providing FREE workshops to the community. DMHAS and the IT Project work with presenters to offer training that addresses current, relevant topics and depend on those who sign up to actually attend. Therefore, a $100 fee will be charged to those who do not cancel or give 24 hour notice that they will not be able to attend the event for which they have registered. SUBSTITUTIONS ARE PERMISSIBLE and preferred to cancellations. We prefer not to have to charge for no-shows so we hope you will attend the event offered
Please note Registration at 8:00am the training will start promptly at 8:30am. Coffee, Tea and Bagels will be served for breakfast. You are on your own for a 45 minute lunch break.
Description:
When a denial is received by your organization do you know the next steps to take? Rejections are becoming more and more common from Medicare, Medicaid, managed care, and insurance companies for behavioral health claims and requests for payment. Another trend is the requests for take-backs of funds paid due to documentation deficiencies. Procedure code and policy changes have further complicated the reimbursement process for all social workers, psychiatrists, psychologists, therapists, counselors, and clinical nurse specialists. Consolidating all of the new requirements with existing code rules and implementing proven billing techniques are the objectives of this concise, one-day seminar. Participants will learn the most current and accurate coding procedures coupled with documentation tips and complete definitions to ensure prompt and optimal payment for future insurance claims.
Who Should Attend?
- Coding, Billing, and Finance Personnel
- Psychiatrists
- Psychologists
- Social Workers
- Psychotherapists
- Professional Counselors
- Marriage and Family Therapists
- Nurse Practitioners
- Nurses
Presenter's Bio
SHERRY MARCHAND, CPMA, is a reimbursement analyst and a billing, collection, and chart-auditing consultant with more than 30 years of experience in the health care industry, including hospital and physician group billing, and collection management. She has served as an expert witness, consultant and Independent Review Officer (IRO) in Medicare, Medicaid and payer disputes, including ALJ hearings, CIAs and criminal fraud cases. Her vast knowledge of the practice management process has come from working in various levels of health care accounting, including the management of international hospital billing. As a certified, self-employed practice management consultant and chart auditor, Mrs. Marchand has helped numerous medical offices overcome obstacles and take control of their cash flow through implementation of billing and documentation processes. Her specialties include Internal Medicine, Neurology, Obstetrics, Mental Health, Physical Therapy, Cardiology, ENT, and Surgical Specialties. Mrs. Marchand is skilled in installation training and implementation of hardware and software systems that are right for the health care arena. Mrs. Marchand has many tips and tools to assist your office on the road to healthy patients and insurance collections.
Disclosure:
Financial - No relevant financial relationship exists
Nonfinancial - No relevant nonfinancial relationship exists
Course Outline
*Revenue Cycle and Credentialing 101
* Understanding the Reimbursement Process
* CPT/HCPCS Procedure Codes
* Evaluation and Management Codes, Documentation Requirements and 2019 Updates
* 2019 Changes for Psychological and Neuropsychological Testing, Coding, Billing and Reports
*Most Commonly Used Codes and Documentation Requirements for Psychotherapy
* Most Commonly Used Codes by Provider Type
* Most Commonly Used Codes by Program Type
* ICD-10-CM and DSM-5 Coding and Criteria Tools
* Federal Regulations and Billing Rules for Compliance of Documentation, Coding and Billing Standards
* 2019 Quality Payment Program
* MIPS Merit Based Incentive Payment System
* APM Alternative Payment Models
* Four Phases of Participation
* QPP Resources
*Claims Processing
*Resources for CMS 1500 Forms,- UB 04 Forms, ANSI 837i/p and 835i/p submission
*Modifiers
*Major Payers
*Understanding the Appeal Process
*Value Based Contracting discussion
Organized by
NJAMHAA is the leading advocacy and trade association for community mental health and addiction treatment providers throughout the state. NJAMHAA represents 160 hospital-based and freestanding providers of mental health and substance use treatment services for children and adults throughout New Jersey. NJAMHAA's mission is to promote the value of its members as the highest quality behavioral healthcare providers for the residents of New Jersey through advocacy and professional development.